Septic Arthritis of Native Joints

• Autores: John J. Ross
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 2, 2017 (Ejemplar dedicado a: Bone and Joint Infections), págs. 203-218
• Idioma: inglés
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• Resumen
  • español

    Septic arthritis, Arthrocentesis, Synovial fluid, MRSA

  • English

    Septic arthritis is a rheumatologic emergency that may lead to disability or death. Prompt evacuation of the joint, either by arthrocentesis at the bedside, open or arthroscopic drainage in the operating room, or imaging-guided drainage in the radiology suite, is mandatory. Methicillin-resistant Staphylococcus aureus (MRSA) has become a major cause of septic arthritis in the United States. MRSA joint infection seems to be associated with worse outcomes. Antibiotic courses of 3 to 4 weeks in duration are usually adequate for uncomplicated bacterial arthritis. Treatment duration should be extended to 6 weeks if there is imaging evidence of accompanying osteomyelitis.